NPI | 1942623467 |
---|---|
Former Name | ROXANA BRAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC 9807) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC 9807) |
Enumeration Date | 2014-02-04 |
Last Update Date | 2024-02-19 |